title: Evaluation of chronic disease self-management programme (CDSMP) for older adults in Hong Kong.
abstract: OBJECTIVE
  To evaluate the locally-adapted CDSMP for older adults with chronic diseases in Hong Kong in the primary care setting.
  
  
  METHODS
  A longitudinal, quasi-experimental study.
  
  
  METHODS
  Community-based and primary care setting.
  
  
  METHODS
  Seven hundred and seventy-two participants aged 55 or above with at least one chronic disease and were living in the community.
  
  
  METHODS
  The 6-weeks programme consisted of 6 group sessions, with each session lasting for 2.5 hours. Trained professional and elder lay leaders facilitated participants to gain essential self-management knowledge and skills for the effective management of chronic diseases.
  
  
  METHODS
  At baseline and 6 months, four categories of outcome measures were documented, covering self-management behaviours, self-efficacy, health status, and health care utilization.
  
  
  RESULTS
  302 and 298 participants in the intervention and control groups completed 6 months follow-up respectively. Participants in the intervention group reported significant improvements in all self-management behaviours and self-efficacy measures, and 5 health status measures (social role limitation, depressive symptoms, health distress, symptoms of pain and discomfort, and self-rated health) when compared with those in the control group.
  
  
  CONCLUSIONS
  The locally-adapted CDSMP may improve self-management behaviours, self-efficacy and health status among older adults with chronic diseases in Hong Kong. CDSMP may be integrated into primary care services for older adults.
authors.affiliation: Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong. waynechan@cuhk.edu.hk
authors.forename: W L S
authors.initials: WL
authors.lastname: Chan
authors.forename: E
authors.initials: E
authors.lastname: Hui
authors.forename: C
authors.initials: C
authors.lastname: Chan
authors.forename: D
authors.initials: D
authors.lastname: Cheung
authors.forename: S
authors.initials: S
authors.lastname: Wong
authors.forename: R
authors.initials: R
authors.lastname: Wong
authors.forename: S
authors.initials: S
authors.lastname: Li
authors.forename: J
authors.initials: J
authors.lastname: Woo
mesh_terms: D000368:Aged; D002908:Chronic Disease / Q000453:epidemiology / Q000517:prevention & control*; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006304:Health Status; D006723:Hong Kong / Q000453:epidemiology; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D011320:Primary Health Care / Q000706:statistics & numerical data*; D020377:Self Efficacy